Individual
BRUCE CHAMOVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
99 AUTUMN ST, SUITE 101, ALIQUIPPA, PA 15001-1301
(724) 375-3199
(724) 375-5858
Mailing address
99 AUTUMN ST, SUITE 101, ALIQUIPPA, PA 15001-1301
(724) 375-3199
(724) 375-5858
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD027359E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009505850002
—
PA
05
—
0708550
—
OH
01
—
174451
BLUE SHIELD
PA
01
—
206098
UPMC
PA
Enumeration date
05/01/2006
Last updated
06/09/2008
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